FMS Feedback – From Excel sheets to detailed online feedback

The MBBS programme collects a lot of assessment information that needs to be displayed in a way that is useful for the students, so that they can improve their grades through focusing on the right areas. They called upon the web skills of the FMS TEL team to design and implement a web application that could take assessment results, process them, and show them to the students in a visual and interactive way.

Using templates

The first step towards this was agreeing a template that the results could be stored in. The types of assessments the MBBS programme uses are varied and quite detailed in their scope. They required a means to take all of this variation and detail and create something useable. The assessment team started by using complex Excel documents to collect and store all the assessments results. Each assessment type (WriSkE, MOSLER, SBA, OSCE…) needed a unique Excel template to store all the student scores and a way to map the assessment structure to the curriculum outcomes.

spreadsheet template
Example WriSkE template

Processing the Spreadsheets

Once we had agreed on the template structure, we could then focus on how we would process them for use in a web application. We planned for the heavy concurrent use the web application would undergo when all the students logged in and tried to access their grades at the same time. The best solution for this was to minimise the use of complex database structures and instead store the results in pre-processed files, one for each student per assessment. The format we chose for this was JSON and this allowed us to rely on the speed of the server to provide the data.

Custom processing scripts were written for each assessment type to create these files. This would mean an administrator from the assessment team could log in to the site, go to the admin tools, choose an assessment type, set up a few settings including a release date, attach the assessment to an uploaded taxonomy (this attached the exam structure to learning outcomes), attach Excel file and process. The site would then go through the spreadsheet and create each assessment file ready for the students.

Admin Upload Form

Display the Results

The final step was to decide how to display this detailed assessment information to the student. We chose to use an online chart library called highcharts. This allowed us to utilise a whole suite of charts and graphs to display the raw results in an interactive way.

One of the core charts we used was quartile (boxplot) graphs, which allowed us to plot the students scores against the cohorts. This means that students can see how they are performing in the context of their cohorts, which many of them appreciate. We also heavily use bar charts you can drill down into, and spiderweb charts that could show the same information in a visually different way. Letting the students modify and change the display to their preferences was also key.

Finally, we added tabs to show the exam structure and an area to which support documents could be added, such as assessor comments.

WriSkE results of a student

Each time a student clicked on an assessment, the site would load their file and convert into a visually rich interface of charts, graphs and links to drill down into the data.

System Success and Expansion

The FMS Feedback system has been successfully used by the MBBS programme since 2014. It is held in high regard by the administrative team who appreciate its flexibility and ease of use. For students, the detailed data displayed allows them to have a very granular understanding about their levels of mastery of individual skills and topic areas, and to spot patterns in their performance. This means they can focus their studies on areas identified for improvement, with a view to increasing their overall competency.

It has since been expanded to cover a few assessments from dental programmes that had a similar structure and process to the original MBBS assessments, such as SBA and OSPE’s.

If you would like to learn more about the FMS Feedback system, please contact the FMS TEL Team.

Exploring 3D Anatomy – A New MOOC Developed with FMS TEL

Over the past few months, the FMS TEL team have been working on bringing a Massive Open Online Course (MOOC) to life. The course, Exploring 3D Anatomy, is an active, hands-on, and engaging online course now available to Newcastle students and staff! The course was designed by Dr Iain Keenan of Newcastle University and Mr Leonard Shapiro of the University of Cape Town.

3D spatial awareness is a cognitive function. Improving it improves students’ 3D visualisation ability and spatial skills in anatomy learning.

In our experience, medical, dental, and other healthcare students can experience significant challenges in 3D spatial anatomy. Because of the three-dimensional arrangement of the human body, student spatial awareness can be a major influence on their anatomical education. In this online course, students can practice several  easy-to-follow, hands-on exercises that we have designed to address and improve 3D spatial awareness. Video demonstrations by Iain and Leonard guide students through each activity, which involve the use of  readily available household objects such as a piece of fruit, a jar, or a fork.

As simple as these exercises are to follow and carry out, the effect of such activities on improving 3D spatial awareness can be notable. What’s more, the exercises can be enjoyable too!

The Fruit Exercise: a guided dissection of this 3D object can improve 3D spatial understanding of the anatomical planes.

The practical exercises in the course are demonstrated by Iain and Leonard on video, allowing students to access the content at their own pace. These videos show the exercises in detail and allow students to hear the conversation as the exercise unfolds. Videos are short and simple to follow, and have been captioned by the team to ensure clarity.

Leonard Demonstrating the Fruit Exercise with a Lemon
Iain Starting the Fruit Exercise with a Lime

All Newcastle University staff and students can join the Canvas course, which is structured in three parts and requires around 4 hours of activity in total. We hope to expand access to an extended version of the course in 2022/23. For further information, please contact Dr Iain Keenan.

Contacts 

Dr Iain Keenan, Senior Lecturer in Anatomy, School of Medical Education, Newcastle University 

Mr Leonard Shapiro, Observation and Spatial Awareness Teacher, Department of Human Biology, University of Cape Town 

Further Reading 

This course is supported by the following research: 

Backhouse, M., Fitzpatrick, M., Hutchinson, J., Thandi, C.S. and Keenan, I.D. (2017), Improvements in anatomy knowledge when utilizing a novel cyclical “Observe-Reflect-Draw-Edit-Repeat” learning process. Anat Sci Educ, 10: 7-22. https://doi.org/10.1002/ase.1616

Ben Awadh, A., Clark, J., Clowry, G. and Keenan, I.D. (2021), Multimodal Three-Dimensional Visualization Enhances Novice Learner Interpretation of Basic Cross-Sectional Anatomy. Anat Sci Educ. https://doi.org/10.1002/ase.2045

Branson TM, Shapiro L, Venter RG. Observation of Patients’ 3D Printed Anatomical Features and 3D Visualisation Technologies Improve Spatial Awareness for Surgical Planning and in-Theatre Performance. Adv Exp Med Biol. 2021;1334:23-37. Available at https://pubmed.ncbi.nlm.nih.gov/34476743/

Reid, S., Shapiro, L. and Louw, G. (2019), How Haptics and Drawing Enhance the Learning of Anatomy. Anat Sci Educ, 12: 164-172. https://doi.org/10.1002/ase.1807

Shapiro, L., Bell, K., Dhas, K., Branson, T., Louw, G. and Keenan, I.D. (2020), Focused Multisensory Anatomy Observation and Drawing for Enhancing Social Learning and Three-Dimensional Spatial Understanding. Anat Sci Educ, 13: 488-503. https://doi.org/10.1002/ase.1929

Zoom and MBBS at NUMed with Fiona Clarke

This case study concerns the MBBS programme at NUMed, and the different ways interactive tools and humanising teaching techniques on Zoom has helped facilitate learning during lockdowns. Zoom tools have been used in many different ways, and tools and tips from colleagues, internet searches, and the FMS TEL Humanising the Online Experience webinar have helped enhance these sessions.

From Beginner to Teacher

The prospect of teaching online can be quite daunting, especially if you don’t already have a lot of interest in or experience with the technology. Initially Paul Hubbard offered a help session for Zoom, which was a great help and provided inspiration on how to use the different tools in teaching. With practice, a lot of skills were developed and put into practice with students. After hearing about how Zoom is used in these MBBS sessions, colleagues now come to ask for advice based on the techniques and tools that have been used, and it’s great to be able to provide that for them now.

Humanising the Online Experience in Practice

Turn off Self-View

Some students are very shy, and a range of techniques can help them build their confidence. One among these is turning off self-view in Zoom, which only takes a couple of clicks. This is useful when teaching as well, as your own image can get a little distracting. At first you might worry that you are fidgeting without being aware, but it soon becomes easy to remember that you are still on camera. Students who had initially struggled with presentations or speaking in front of others did become more confident after these interventions, and after getting more comfortable with the Zoom environment.

Encouragement to Switch on Cameras

One thing that has worked very well is giving a lot of deliberate positive feedback to students about switching on their cameras. At the start of sessions students are greeted warmly and the benefits of having the camera on are shared. More importantly, efforts are made to share how lovely it is to see their faces when they do turn the camera on. Even saying something like ‘it’s so nice to see you’ or ‘I’ve missed seeing you all’ as cameras come on encourages others. Since making this deliberate extra effort, a lot more students turn on their cameras during sessions, which helps lift the atmosphere.

Teaching Ethics

Teaching concepts like ethics can be tricky, as they don’t lend themselves to a practical format. To help bring the subject material to life, the ethics segment of the Medicine, Acute Care and Surgery course was previously presented in a very interactive format in person. Students used flipcharts to collate information, moved around the room, worked in groups, did card sorting activities… initially this seemed difficult to replicate online, but it was possible to adapt the sessions using Zoom tools like polling, breakout rooms for group work, and interactive whiteboards.

Approximating In-Hospital Experience

One thing that has been a challenge for the programme is the lack of access to hospitals due to the pandemic, especially for The Hospital-Based Practice course. This is normally case-based, interacting with real patients. The decision was made to create staged patient interactions. These sessions work a bit like branching scenarios in that what the student chooses to do guides the rest of the interaction. A ‘patient’ acts from a script on the Zoom call, and the lecturer can coach the student through the interaction and offer feedback. If the student chooses to, for example, listen to a patient’s breathing, the lecturer provides a sound file of what the student hears when they do so. While this can’t perfectly replicate what it’s like on a ward (patients don’t follow a script!), students still get the chance to practice skills like decision-making and explaining diagnoses.

Advice

The best advice is to try things out and experiment in a Zoom meeting on your own, or with colleagues. Even if you have used a tool before, if it has been a while, just start up an empty Zoom meeting and refresh your memory before it’s time to go live. Google has also been invaluable – it’s possible to fix common issues or refresh your memory by finding software instructions online. Finally, don’t be afraid to try out new tools with students. The interactivity tools such as polls and whiteboards can help bridge the gap and make sessions more engaging.

“Don’t be afraid, just try it out! It’s so worth it, it makes such a difference.”

Fiona Clarke

Resources

Contact

Dr Fiona Clarke, Associate Professor and Senior Lecturer in Medicine, NUMed

Fiona.clarke1@nhs.net